Average Medicaid Substance Abuse Treatment Payments
Typical Medicaid Substance Abuse Treatment reimbursement across 5,169 cities
Avg. Medicaid Paid
$58.84
Price Range
$0.00 – $10,105
Total Claims
490.4M
Cities
5169
Typical Payment Range
Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Lumberton, NJ | $86.44 | $86.44 – $86.44 | 101 | 1 |
| Carmel, CA | $9.98 | $9.98 – $9.98 | 101 | 1 |
| Fortuna, CA | $4.51 | $0.00 – $11.40 | 101 | 2 |
| Coleman, OK | $68.95 | $68.95 – $68.95 | 101 | 1 |
| Ozark, AR | $82.07 | $82.07 – $82.07 | 100 | 1 |
| Ferndale, CA | $0.00 | $0.00 – $0.00 | 100 | 1 |
| Farmington, MN | $226.33 | $226.33 – $226.33 | 99 | 1 |
| Southfield, MI | $26.99 | $26.99 – $26.99 | 99 | 1 |
| Dayton, WA | $5.00 | $1.11 – $7.69 | 98 | 2 |
| Sturgeon Bay, WI | $43.99 | $21.87 – $61.28 | 98 | 2 |
| Mullens, WV | $0.00 | $0.00 – $0.00 | 98 | 1 |
| Universal City, TX | $67.16 | $67.16 – $67.16 | 98 | 1 |
| Beatty, NV | $27.94 | $27.94 – $27.94 | 98 | 1 |
| Coarsegold, CA | $0.00 | $0.00 – $0.00 | 98 | 1 |
| Fairview, OK | $0.00 | $0.00 – $0.00 | 97 | 1 |
| Dyer, IN | $97.47 | $97.47 – $97.47 | 97 | 1 |
| Burlington, IA | $0.00 | $0.00 – $0.00 | 97 | 1 |
| Huber Heights, OH | $188.51 | $188.51 – $188.51 | 97 | 1 |
| Estero, FL | $37.29 | $0.00 – $91.78 | 96 | 3 |
| Fort Belvoir, VA | $2.82 | $2.82 – $2.82 | 96 | 1 |
| Hoopeston, IL | $83.61 | $83.61 – $83.61 | 96 | 1 |
| Minot Afb, ND | $0.00 | $0.00 – $0.00 | 96 | 1 |
| Mailtand, FL | $18.42 | $18.42 – $18.42 | 96 | 1 |
| Soorro, NM | $94.03 | $94.03 – $94.03 | 96 | 1 |
| Hollywood, MD | $0.81 | $0.81 – $0.81 | 95 | 1 |
| Sebastopol, CA | $24.00 | $24.00 – $24.00 | 94 | 2 |
| Hurricane, WV | $0.00 | $0.00 – $0.00 | 94 | 1 |
| Greendale, WI | $24.20 | $24.20 – $24.20 | 94 | 1 |
| Salisbury, MA | $4,508 | $4,508 – $4,508 | 94 | 1 |
| Wellington, FL | $24.25 | $17.58 – $58.94 | 93 | 2 |
| Hebron, KY | $49.25 | $49.25 – $49.25 | 93 | 1 |
| Vail, CO | $135.33 | $135.33 – $135.33 | 93 | 1 |
| Mulino, OR | $118.67 | $118.67 – $118.67 | 93 | 1 |
| Castaic, CA | $0.00 | $0.00 – $0.00 | 92 | 1 |
| Goose Creek, SC | $13.99 | $13.99 – $13.99 | 92 | 1 |
| Ellijay, GA | $52.47 | $52.47 – $52.47 | 92 | 1 |
| Saint Helena Island, SC | $79.01 | $79.01 – $79.01 | 92 | 1 |
| Grants, NM | $124.35 | $0.00 – $164.00 | 91 | 2 |
| Poland, ME | $73.78 | $73.78 – $73.78 | 91 | 1 |
| Dresden, TN | $204.03 | $204.03 – $204.03 | 90 | 1 |
| St. Johns, AZ | $70.64 | $70.64 – $70.64 | 90 | 1 |
| San Felipe Pueblo, NM | $59.57 | $59.57 – $59.57 | 90 | 1 |
| Beverly Hills, CA | $0.00 | $0.00 – $0.00 | 89 | 2 |
| Friday Harbor, WA | $0.00 | $0.00 – $0.00 | 89 | 1 |
| De Soto, MO | $0.00 | $0.00 – $0.00 | 88 | 1 |
| Tucumcari, NM | $163.70 | $163.70 – $163.70 | 88 | 1 |
| Aurora, NY | $60.18 | $60.18 – $60.18 | 88 | 1 |
| Palm Beach Gardens, FL | $19.91 | $19.91 – $19.91 | 87 | 1 |
| Mossyrock, WA | $160.29 | $160.29 – $160.29 | 87 | 1 |
| Chatfield, MN | $96.70 | $96.70 – $96.70 | 86 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | $20.02 | 312,323,784 | 3,904 |
| H0004 | Alcohol and/or drug services | $89.45 | 73,272,784 | 23,966 |
| H0038 | Self-help/peer svc per 15min | $102.60 | 30,385,812 | 7,670 |
| H0015 | Alcohol and/or drug services | $152.04 | 25,053,675 | 9,061 |
| H0005 | Alcohol and/or drug services | $53.46 | 23,222,742 | 9,936 |
| H2036 | A/d tx program, per diem | $258.14 | 18,209,988 | 1,399 |
| H0023 | Alcohol and/or drug outreach | $129.61 | 9,489,348 | 1,230 |
| H2035 | A/d tx program, per hour | $133.88 | 8,557,719 | 772 |
| H0006 | Alcohol and/or drug services | $58.37 | 8,299,938 | 8,185 |
| H0025 | Alcohol and/or drug preventi | $59.91 | 4,103,530 | 1,218 |
| H0010 | Alcohol and/or drug services | $422.31 | 3,875,371 | 395 |
| H0001 | Alcohol and/or drug assess | $82.04 | 3,265,107 | 5,031 |
| H0002 | Alcohol and/or drug screenin | $50.82 | 3,220,721 | 4,504 |
| H0049 | Alcohol/drug screening | $6.25 | 2,594,750 | 4,239 |
| H0022 | Alcohol and/or drug interven | $34.60 | 942,099 | 951 |
| T1012 | Alcohol/substance abuse skil | $61.60 | 820,776 | 236 |
| H0014 | Alcohol and/or drug services | $206.17 | 618,111 | 786 |
| H0012 | Alcohol and/or drug services | $266.77 | 587,849 | 172 |
| H0050 | Alcohol/drug service 15 min | $39.26 | 340,958 | 472 |
| H0007 | Alcohol and/or drug services | $261.94 | 101,784 | 110 |
| T1006 | Family/couple counseling | $172.57 | 38,563 | 50 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.